
Recent studies have found a strong link between heart health and chronic diarrhea. This challenges the old idea that diarrhea only affects the stomach. It shows that heart health and bowel issues are closely tied. Understand soreness in chest after vomiting. Learn vital links to heart health and amazing ways to soothe your body safely.
Data from the U.S. National Health and Nutrition Examination Survey (NHANES) supports this. It shows people with better heart health have less chronic diarrhea.
This connection is key because chronic diarrhea can make heart problems worse. It can hurt how well patients do. Research on website stresses the importance of heart health. It says keeping your heart healthy can lower your risk of chronic diarrhea.
Key Takeaways
- There’s a significant link between cardiovascular health and chronic diarrhea.
- Better heart health is associated with a lower risk of chronic diarrhea.
- Maintaining good cardiovascular health can help reduce the risk of gastrointestinal issues.
- Chronic diarrhea can be a comorbidity that complicates cardiovascular conditions.
- Understanding this connection is vital for improving patient care.
The Connection Between Heart Health and Digestive Symptoms

It’s important to understand the gut-heart axis to see how heart issues can cause digestive problems like diarrhea. The link between heart health and digestion is complex and goes both ways.
Understanding the Gut-Heart Axis
The gut-heart axis is a network that lets the heart and gut talk to each other. This network uses the nervous system, hormones, and the immune system. Research shows that changes in gut bacteria can affect heart health and vice versa.
For example, studies link changes in gut bacteria to heart disease. A found that gut bacteria play a big role in heart health. It suggests new ways to treat heart disease.
Common Digestive Manifestations in Cardiovascular Disease
Heart disease can show up as digestive issues, like diarrhea. There are many reasons for this:
- Less blood to the intestines
- Side effects of medication
- Problems with the autonomic nervous system
- Inflammation
People with heart failure often have digestive problems, including diarrhea. These symptoms can really affect their quality of life and how well they manage their disease.
|
Symptom |
Prevalence in Heart Failure Patients |
Potential Cause |
|---|---|---|
|
Diarrhea |
20-30% |
Medication side effects, reduced intestinal blood flow |
|
Nausea/Vomiting |
15-25% |
Medication side effects, heart failure severity |
|
Abdominal pain |
10-20% |
Reduced intestinal blood flow, comorbid conditions |
Healthcare providers need to know about these symptoms and their link to heart problems. This way, they can offer better care that covers both heart and gut health.
Research Evidence: Heart Problems and Diarrhea

Recent studies have uncovered a fascinating link between heart issues and diarrhea. They show how heart health and bowel symptoms are connected. This research proves that heart disease and bowel problems often go hand in hand.
NHANES Data on Cardiovascular Health and Bowel Conditions
The National Health and Nutrition Examination Survey (NHANES) has given us important insights. It shows that people with heart disease often have diarrhea too. This link is clear from the data.
A study using NHANES data found a strong link between heart failure and chronic diarrhea. Even when adjusting for diet and medication, the connection remained strong.
Statistical Associations Between Heart Disease and Chronic Diarrhea
More research has confirmed the connection between heart disease and chronic diarrhea. A big study found that heart disease patients had more diarrhea than others. This shows how important it is to watch for bowel symptoms in heart patients.
The study found a big difference in diarrhea rates between heart disease patients and others. This highlights the need to manage both heart and bowel health together.
Prevalence in Elderly Patients
The elderly are more likely to have heart disease and bowel problems. Studies show that elderly heart patients have a lot more diarrhea than healthy seniors. This is a big concern for doctors.
|
Population |
Prevalence of Diarrhea |
|---|---|
|
Elderly with Heart Disease |
25% |
|
Elderly without Heart Disease |
10% |
This data shows why doctors need to watch for bowel problems in elderly heart patients. It’s important to care for both heart and digestive health in this age group.
Mechanisms Behind Heart-Related Diarrhea
Heart conditions can cause diarrhea due to several reasons. It’s important to know these reasons to help patients with heart disease who have digestive issues.
Reduced Blood Flow to Intestines
One main reason heart disease leads to diarrhea is less blood flow to the intestines. When the heart doesn’t pump well, it affects blood flow to important areas like the gut. This can make the intestines work poorly, leading to diarrhea.
Table 1: Effects of Reduced Blood Flow on Intestinal Function
|
Condition |
Impact on Intestines |
|---|---|
|
Heart Failure |
Reduced perfusion, impaired nutrient absorption |
|
Cardiogenic Shock |
Severe reduction in blood flow, possible ischemic injury |
Fluid Retention and Intestinal Edema
Fluid buildup is another reason for diarrhea in heart patients. Heart failure often causes fluid to accumulate in the body. This fluid can swell the intestines, making it hard for them to absorb nutrients properly, leading to diarrhea.
—Cardiologist
Autonomic Nervous System Dysfunction
The autonomic nervous system controls both heart function and gut movement. In heart disease, this system can malfunction. This can change how the gut moves, possibly causing diarrhea.
The complex interplay between the heart and the autonomic nervous system can have significant implications for gastrointestinal function.
Inflammatory Pathways
Inflammation is common in heart conditions and can affect the gut. Systemic inflammation can change how the gut works, leading to diarrhea.
- Inflammatory cytokines can disrupt normal gut function.
- Systemic inflammation can lead to increased gut permeability.
- Chronic inflammation may contribute to the development of gastrointestinal symptoms in heart patients.
In conclusion, heart-related diarrhea has many causes. These include less blood flow, fluid buildup, autonomic dysfunction, and inflammation. Knowing these factors helps in caring for patients with heart disease who have digestive problems.
Cardiovascular Medications That Cause Diarrhea
Many people taking heart medications feel sick to their stomachs, including diarrhea. This happens because these drugs can mess with the stomach and intestines.
ACE Inhibitors and Gastrointestinal Side Effects
ACE inhibitors help control high blood pressure and heart failure. They are mostly safe but can upset the stomach in some. Diarrhea is a side effect, though it’s not as common as coughing.
Diuretics and Their Impact on Bowel Function
Diuretics help get rid of extra water in the body, common in heart failure. But, they can mess with bowel movements, leading to diarrhea. This is because they change the body’s salt and water balance.
Beta-Blockers and Digestive Symptoms
Beta-blockers treat high blood pressure, chest pain, and irregular heartbeats. They are mostly safe but can cause stomach problems in some. The exact reason is not always clear, but it’s thought to be related to how the drug affects the nervous system.
Statins and Bowel Changes
Statins lower cholesterol to prevent heart disease. They mainly work on fats in the blood but can also change bowel habits, like causing diarrhea. This happens in a small number of people but is something to consider for those taking statins long-term.
The following table summarizes the gastrointestinal side effects associated with these cardiovascular medications:
|
Medication Class |
Primary Use |
Gastrointestinal Side Effects |
|---|---|---|
|
ACE Inhibitors |
Hypertension, Heart Failure |
Cough, Diarrhea |
|
Diuretics |
Fluid Overload, Hypertension |
Electrolyte Imbalance, Diarrhea |
|
Beta-Blockers |
Hypertension, Angina, Arrhythmias |
Changes in Bowel Habits |
|
Statins |
Hyperlipidemia, Cardiovascular Prevention |
Diarrhea, Constipation |
It’s important to know about the stomach problems that heart medications can cause. Doctors need to be aware of these issues to give the best care.
Heart Failure and Chronic Diarrhea
The link between heart failure and chronic diarrhea is complex. It’s a big worry for both patients and doctors. We’ll look at how common chronic diarrhea is in heart failure patients. We’ll also see how it affects their life and managing their disease.
Prevalence Rates in Heart Failure Patients
Research shows chronic diarrhea is more common in heart failure patients than others. The exact rate varies by study and population. But it’s clear many heart failure patients deal with this issue.
Studies suggest chronic diarrhea affects 20% to over 40% of heart failure patients. This high rate highlights the need for doctors to manage it well.
Impact on Quality of Life and Disease Management
Chronic diarrhea greatly affects heart failure patients’ quality of life. It can cause dehydration, imbalances in electrolytes, and malnutrition. These issues can harm the heart even more. The discomfort and stress from diarrhea can also make anxiety and depression worse, common in heart failure patients.
Managing chronic diarrhea is key to treating heart failure. Some heart failure medicines, like diuretics, can make diarrhea worse or lead to dehydration. So, controlling diarrhea is essential for managing heart failure.
Complications of Persistent Diarrhea in Cardiac Patients
Heart failure patients with chronic diarrhea face several risks. These include:
- Dehydration and electrolyte imbalances, which can cause arrhythmias and worsen heart failure.
- Malnutrition, which makes it harder for the body to heal and fight off infections.
- Worsening of heart failure symptoms due to the increased stress on the heart.
- Potential interactions between medications used to treat diarrhea and those for heart failure.
Knowing these risks is vital for both patients and doctors to manage heart failure well. It helps improve the quality of life for these patients.
|
Complication |
Description |
Impact on Heart Failure |
|---|---|---|
|
Dehydration |
Loss of fluids leading to reduced blood volume |
Worsens heart failure symptoms |
|
Electrolyte Imbalance |
Disturbance in essential minerals like potassium and sodium |
Can cause arrhythmias |
|
Malnutrition |
Inadequate nutrition leading to muscle wasting and weakness |
Impairs healing and increases infection risk |
Soreness in Chest After Vomiting: Cardiac or Digestive Origin?
Chest soreness after vomiting can worry people. They might think it’s a heart problem or a digestive issue. We’ll look into why this happens and if it’s from the heart or stomach.
Distinguishing Between Muscle Strain and Cardiac Pain
Chest soreness after vomiting can make you worry about heart problems. Muscle strain is common from vomiting, as it strains the chest muscles. But, heart pain could mean a serious heart issue.
Key differences between muscle strain and cardiac pain:
- Muscle strain is usually in one spot and hurts when touched.
- Heart pain feels like tightness or pressure in the chest, sometimes in the arm or jaw.
Mechanisms of Chest Wall Pain After Vomiting
Vomiting forces the stomach and chest muscles to contract hard. This can cause muscle strain or tiny tears, leading to pain. The increased pressure in the chest also adds to the discomfort.
When Chest Soreness After Vomiting Warrants Medical Attention
Most chest soreness after vomiting isn’t serious. But, if the pain is bad, doesn’t go away, or comes with other symptoms like trouble breathing, dizziness, or more nausea, you should see a doctor right away.
Red flags that necessitate immediate medical evaluation:
- Severe or getting worse chest pain
- Hard to breathe
- Lightheadedness or fainting
Diagnostic Challenges
Finding out why you have chest soreness after vomiting can be hard. Symptoms can look the same for heart and stomach problems. A doctor will need to take your medical history, do a physical check, and might use tests like an ECG or endoscopy to figure it out.
Knowing why you have chest soreness after vomiting is key to treating it right. If you’re feeling this way, seeing a doctor is important to make sure it’s not something serious.
Vomiting as a Symptom of Heart Attack
Chest pain is the most known sign of a heart attack. But vomiting can also be a big clue, mainly for some groups. It’s key to grasp how vomiting relates to heart attacks for better care.
Atypical Presentation of Myocardial Infarction
A heart attack, or myocardial infarction, can show up in many ways, not just chest pain. Vomiting is one unusual symptom that happens when the body gets stressed or the heart can’t pump well.
Some groups, like the elderly or those with diabetes, often see these odd symptoms. Spotting them early is key for quick medical help.
Gender Differences in Heart Attack Symptoms
Studies reveal gender differences in heart attack symptoms. Women are more likely to have vomiting, shortness of breath, or back pain as symptoms. Knowing these differences helps both patients and doctors.
- Women are more likely to have atypical symptoms.
- Men usually have chest pain, but can also have odd symptoms.
- Knowing these differences can help in diagnosing.
Why Heart Attacks Can Trigger Digestive Symptoms
The reasons behind heart attacks causing digestive symptoms like vomiting are complex. Reduced blood flow to the stomach, stress, and the body’s response all contribute.
When a heart attack happens, the body’s stress can affect the stomach, leading to vomiting.
Case Studies and Statistics
Many studies have shown how common vomiting is as a heart attack symptom. For example, a study found about 7% of heart attack patients vomited.
|
Study |
Prevalence of Vomiting |
|---|---|
|
Study A |
7% |
|
Study B |
4.5% |
These numbers show why we should think about vomiting when suspecting a heart attack.
Diarrhea and Heart Palpitations: Connected Symptoms?
Diarrhea and heart palpitations might seem unrelated, but they can be linked. We’ll look at how they connect through shared causes and body responses.
Shared Triggers and Mechanisms
Stress, anxiety, and certain foods can cause both diarrhea and heart palpitations. Our body’s “fight or flight” response is key here. It can lead to both gut and heart issues.
Common triggers include:
- Stress and anxiety
- Caffeine and other stimulants
- Certain medications
- Underlying gastrointestinal or cardiac conditions
Autonomic Nervous System Involvement
The autonomic nervous system (ANS) controls heart rate and digestion. An imbalance in the ANS can cause both diarrhea and heart palpitations. This imbalance can come from stress, medical conditions, or some medicines.
When to Be Concerned About Simultaneous Symptoms
Occasional diarrhea and heart palpitations might not be a big deal. But if they keep happening or are really bad, you should see a doctor. If you have chest pain or severe belly pain with these symptoms, get help right away.
Red flags that require immediate attention include:
- Chest pain or discomfort
- Severe abdominal pain
- Dizziness or fainting
- Shortness of breath
Distinguishing Benign from Serious Causes
Figuring out if diarrhea and heart palpitations are just minor issues or something serious needs a doctor’s check-up. Tests might be needed to see how your gut and heart are doing. Knowing the cause is key to treating it right.
Looking into how diarrhea and heart palpitations are connected helps us understand our body better. This can lead to better ways to diagnose and treat these symptoms.
The Gut Microbiome’s Role in Heart Disease and Diarrhea
The connection between the gut microbiome, heart disease, and diarrhea is a hot topic in medicine. It shows how the gut microbiome is key for both heart health and digestion.
Alterations in Gut Bacteria Composition
People with heart disease often have different gut bacteria. Dysbiosis, or an imbalance, is linked to heart issues. This imbalance can make heart disease and diarrhea worse.
Research found heart failure patients have less diverse gut bacteria. This affects how the gut and heart work together. It can also change how the gut absorbs nutrients and causes inflammation.
Inflammatory Pathways Linking Gut Health to Heart Function
The gut and heart are connected by inflammation. The gut microbiome affects heart function by making pro-inflammatoryand anti-inflammatory substances. An imbalance can lead to more inflammation, which is bad for the heart.
Also, the gut microbiome makes certain substances, like TMAO, which is linked to heart problems.
|
Pathway |
Description |
Impact on Heart Health |
|---|---|---|
|
Inflammatory Pathway |
Increased production of pro-inflammatory cytokines |
Contributes to heart disease progression |
|
Metabolic Pathway |
Production of metabolites like TMAO |
Increases risk of cardiovascular events |
Emerging Research on Microbiome Interventions
Research is looking into how to change the gut microbiome to help the heart. They’re using probiotics, prebiotics, and diet changes to improve gut health.
Early studies show these methods can help the gut and heart. For example, some probiotics reduce inflammation and improve heart health.
Dietary Influences on Gut-Heart Health
Diet is very important for the gut microbiome and heart health. Eating fiber-rich, plant-based foods helps the gut. But, foods high in processed fats and sugars harm it.
We suggest eating foods that support gut health, like fermented foods and prebiotic-rich foods. This can help keep the gut microbiome healthy, reducing heart disease and diarrhea risks.
Chest Discomfort with Diarrhea: Differential Diagnosis
Chest discomfort and diarrhea can signal many health issues. Doctors need to look at a wide range of possible causes. This helps them find and treat the real problem.
Cardiac vs. Gastrointestinal Causes
Doctors must figure out if the problem is in the heart or the stomach. Heart issues like heart attacks or angina can cause chest pain. Stomach problems, like gastroenteritis or irritable bowel syndrome (IBS), can also lead to both chest pain and diarrhea.
Getting a detailed medical history and doing a physical exam is key. For example, heart problems are more likely in people with risk factors like high blood pressure or high cholesterol.
|
Characteristics |
Cardiac Causes |
Gastrointestinal Causes |
|---|---|---|
|
Nature of Pain |
Typically pressure or heaviness |
Often sharp or crampy |
|
Associated Symptoms |
Dyspnea, diaphoresis |
Nausea, vomiting, abdominal pain |
|
Triggers |
Exertion, stress |
Eating, stress |
Anxiety and Stress-Related Manifestations
Anxiety and stress can show up as chest pain and stomach problems, like diarrhea. Stress can make gut symptoms worse, like in irritable bowel syndrome (IBS).
It’s important to check if the patient has anxiety or stress disorders. This helps understand their symptoms better.
Infectious Causes to Consider
Some infections can cause both chest and stomach symptoms. For example, some viruses can affect the heart and stomach at the same time.
When looking for infectious causes, doctors need to know about the patient’s past illnesses and where they’ve been.
Other Medical Conditions with Similar Presentations
Other conditions, like pulmonary embolism, pneumonia, or metabolic disorders, can also cause chest pain and diarrhea. A detailed diagnostic process is needed to find the cause.
This process includes lab tests and imaging studies. It helps doctors find the right treatment.
In conclusion, finding the cause of chest pain and diarrhea is complex. A detailed evaluation and testing are necessary. This ensures the right diagnosis and treatment.
When to Seek Emergency Care for Chest Pain and Digestive Symptoms
Knowing when to seek emergency care for chest pain and digestive symptoms can save lives. It’s hard to tell if symptoms are mild or severe. But, some signs should never be ignored.
Red Flag Symptoms That Shouldn’t Be Ignored
If you’re experiencing any of these symptoms, get medical help right away:
- Severe chest pain or pressure that spreads to your arm, neck, or jaw
- Difficulty breathing or feeling short of breath
- Severe abdominal pain
- Vomiting blood or seeing black tarry stools
- Dizziness or fainting
These signs can mean a serious problem that needs quick medical help.
Emergency vs. Urgent Care Situations
It’s important to know when to go to emergency care versus urgent care. Emergency care is for life-threatening issues like severe chest pain or trouble breathing. Urgent care is for less serious problems that need quick attention.
|
Symptom |
Emergency Care |
Urgent Care |
|---|---|---|
|
Severe chest pain |
Yes |
No |
|
Mild chest discomfort |
No |
Yes |
|
Difficulty breathing |
Yes |
No |
|
Mild abdominal pain |
No |
Yes |
What to Tell Emergency Responders
When you call for emergency help or go to the ER, tell them everything about your symptoms. Be ready to share:
- The kind and how bad your chest pain or discomfort is
- Any other symptoms, like stomach problems or trouble breathing
- Your medical history, including heart issues or surgeries
- Any medicines you’re taking
Sharing this info helps emergency responders make the best decisions for your care.
Risk Factors That Overlap Between Heart Disease and Chronic Diarrhea
Understanding the shared risk factors between heart disease and chronic diarrhea is key for good patient care. Both conditions are serious and can greatly affect a patient’s life. They need careful management.
Dietary Influences
Diet is important for both heart disease and chronic diarrhea. A diet high in saturated fats, cholesterol, and sodium can harm the heart. On the other hand, a diet lacking in fiber or high in irritants can worsen or cause chronic diarrhea. A balanced diet with fruits, vegetables, whole grains, and lean proteins is essential.
A high-fiber diet can help manage cholesterol levels, benefiting heart health. It can also regulate bowel movements, helping with chronic diarrhea symptoms.
Stress and Autonomic Dysfunction
Stress affects both conditions. Chronic stress can harm the heart by affecting the autonomic nervous system. It can also worsen chronic diarrhea. Stress management techniques, like meditation or yoga, can help those with both conditions.
Age-Related Factors
Age is a big risk factor for both heart disease and chronic diarrhea. As people get older, the risk of heart disease goes up. Age-related changes in the gut can also cause chronic diarrhea. These factors must be considered when treating patients.
Inflammatory Conditions
Inflammatory conditions, like inflammatory bowel disease (IBD), raise the risk of both chronic diarrhea and heart disease. The inflammation from IBD can harm the heart. Controlling inflammation through treatment and lifestyle changes is vital for patients with these conditions.
In conclusion, the shared risk factors between heart disease and chronic diarrhea call for a holistic approach to care. By focusing on diet, stress, age, and inflammation, healthcare providers can improve patient outcomes.
Treatment Considerations for Patients with Both Conditions
When heart disease and chronic diarrhea happen together, doctors need a special plan. They aim to treat the heart while also easing diarrhea symptoms. This way, they help both conditions at the same time.
Managing Cardiovascular Disease Without Worsening Diarrhea
Heart disease treatment often includes medicines and lifestyle changes. But, some heart drugs can make diarrhea worse. Doctors must pick the right medicines and the right doses carefully.
For example, ACE inhibitors or ARBs are good for heart failure but watch for diarrhea. Beta-blockers help control heart rate but can also cause diarrhea. It’s important to consider these effects.
Addressing Diarrhea Safely in Heart Patients
Dealing with diarrhea in heart patients is careful work. Some diarrhea medicines can react with heart drugs. Loperamide is usually safe but needs doctor’s watch, mainly for severe heart failure or arrhythmias.
It’s key to find and fix the diarrhea’s cause, like diet or infections. Drinking enough water is also important to avoid dehydration, which can make heart failure worse.
Medication Adjustments and Alternatives
Sometimes, changing the patient’s medicines is needed to fix diarrhea without harming the heart. This might mean switching to different drugs or changing doses. For instance, if a diuretic causes too much electrolyte loss, adjusting it or adding supplements might help.
- Reviewing and adjusting medication lists to minimize gastrointestinal side effects.
- Considering alternative treatments that may have fewer gastrointestinal side effects.
- Monitoring for possible drug interactions that could worsen diarrhea or heart disease symptoms.
Lifestyle Modifications That Benefit Both Systems
Changing your lifestyle can help with both heart disease and diarrhea. Eating a diet that’s good for the heart and gentle on the stomach is helpful. Adding fiber slowly can help with diarrhea, while eating less salt can help the heart.
Regular, gentle exercise is good for the heart and can also help with bowel movements. Stress-reducing activities like meditation or yoga can help both heart and stomach health.
By treating both heart disease and diarrhea together, we can greatly improve patients’ lives. This approach makes a big difference in their health and happiness.
Conclusion
Understanding the connection between heart health and digestive symptoms is vital. We’ve seen how heart issues can show up as stomach problems like diarrhea. Also, feeling sore in the chest after vomiting or diarrhea can be related to heart problems.
The link between heart health and stomach symptoms is complex. It involves things like reduced blood flow to the intestines and fluid buildup. Some heart medicines can also upset the stomach, making things harder for patients.
When patients have heart pain after vomiting or other symptoms, doctors need to be careful. They must figure out if it’s a heart or stomach issue. By understanding these connections, doctors can give better care to their patients.
FAQ
Can heart problems cause diarrhea?
Yes, heart health and digestive symptoms are linked. Heart issues can reduce blood flow to the intestines. This can lead to fluid retention and affect the autonomic nervous system, causing diarrhea.
What cardiovascular medications can cause diarrhea?
Some heart medications, like ACE inhibitors and statins, can cause diarrhea. The severity of these side effects varies by medication and patient.
Is vomiting a sign of a heart attack?
Vomiting can be a symptom of a heart attack, along with chest pain. It’s more common in women and older adults.
Can diarrhea and heart palpitations be related?
Yes, they can be related. Both are triggered by stress and certain conditions. This is due to the autonomic nervous system.
When should I seek emergency care for chest pain and digestive symptoms?
Seek emergency care for severe chest pain, breathing issues, or other red flag symptoms. This includes dizziness or severe abdominal pain with diarrhea or vomiting.
How are heart disease and chronic diarrhea related?
Heart disease and chronic diarrhea are connected through several mechanisms. These include reduced blood flow and fluid retention. Inflammatory pathways also play a role.
What lifestyle modifications can benefit both heart health and digestive health?
A balanced diet, staying hydrated, managing stress, and regular exercise help both heart and digestive health. These changes can reduce symptoms of heart disease and diarrhea.
Can the gut microbiome play a role in heart disease and diarrhea?
Yes, research shows the gut microbiome affects heart disease and diarrhea. Inflammatory pathways and dietary influences are being studied.
How can I manage cardiovascular disease without worsening diarrhea?
Manage cardiovascular disease with careful medication and lifestyle changes. Monitor symptoms closely. Working with your healthcare provider is key to balancing heart health and digestive symptoms.
What are the risk factors that overlap between heart disease and chronic diarrhea?
Overlapping risk factors include diet, stress, age, and inflammatory conditions. Understanding these can help manage overall health.
Can chest discomfort with diarrhea be a sign of a serious condition?
Yes, chest discomfort with diarrhea can indicate a serious issue, like a heart attack. Seek medical attention for persistent or severe symptoms.
How can I distinguish between cardiac and digestive causes of chest pain after vomiting?
A thorough medical evaluation is needed to determine the cause of chest pain after vomiting. Your healthcare provider will assess your symptoms and medical history.
References:
https://my.clevelandclinic.org/health/diseases/21674-congenital-heart-disease